Ayub Adil, Al-Ayoubi Adnan M, Bhora Faiz Y
Department of Thoracic Surgery, Icahn School of Medicine, Mount Sinai Health System, New York, NY, USA.
J Thorac Dis. 2017 Mar;9(Suppl 2):S116-S121. doi: 10.21037/jtd.2017.01.56.
Airway stents can provide effective and timely relief in patients with central airway obstruction. Silicone based stents are the most commonly used airway stents worldwide with a long track record of safety. Metallic stents continue to evolve from the earliest uncovered versions to a variety of newly designed covered stents. Despite the availability of a variety of stent materials and designs, minimal advances have been made towards innovation in stent technology and an ideal stent has unfortunately not yet been developed. Nevertheless, the first generation of biodegradable airway stents are available, work on drug-eluted stents is in the pipeline and three-dimensional printing of a customized airway stent may be the future. In this review, we discuss selection and results for most commonly utilized airway stents.
气道支架可为中央气道阻塞患者提供有效且及时的缓解。硅酮基支架是全球最常用的气道支架,具有长期的安全记录。金属支架从最早的无覆膜版本不断发展到各种新设计的覆膜支架。尽管有多种支架材料和设计可供选择,但支架技术的创新进展甚微,遗憾的是尚未开发出理想的支架。然而,第一代可生物降解气道支架已经问世,药物洗脱支架的研究正在进行中,定制气道支架的三维打印可能是未来的发展方向。在本综述中,我们讨论了最常用气道支架的选择和效果。